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Dl;l, /1U / LAW / /irllal 11:4 AN LfYlinilLLLa BUJ. L1)1IVla PAA NO. d1J- IdU -UUL1 9 �1 r. UUL <br /> 813 - 7BO 0020 City of ZephyrfiNltT `' l (0 <br /> Pax-813-7804021 de. i <br /> Permit Applicetlon. , . . •.sav <br /> Date Received Phone Conteetfor Permit . - <br /> Owners Name ► �r 4 Li=e .e Phone Number 1 1 L 1 <br /> Owner's Address 3k •SCG _ 4 ✓L • 2E, yrh /4 / r • I <br /> Fee Simple Titleholder Name 1 1 Titieholder•Ptpne Number 1 [1 J `1 <br /> • <br /> Fee Strop TItieha1der- Addreee I • <br /> Job Addreaa 3& Z -0 4 ✓ + - 2 ' ! 6/ /IS F - woo i ' <br /> Sub' • Parcel # • L� <br /> 0 Blo -Hazed Waste Storage - ANNUAL • -r---I Fumigation Tent <br /> H . Comm Exhaust Kitchen Hood/Duct - • <br /> r:-.1 El Hazardous Material (filer II or RQ Feciifty) ANNUAL <br /> Controlled Bum. n liaod InetaYaMen <br /> • D Emergency Generator.< 30 kw n LP/Natural Gas- batdiafion <br /> n 'Emergency Generator P. 30 kw t ' LP/Manual Gas-ANNUAL Sale C y <br /> El Fire Proteo5on Maintenance - ANNUAL • o Places of Aseembly <br /> (mil '®.� (.,., --a• ,5e4 4P �v/� <br /> Sprinider LI ❑ ❑ ❑ fl RacreaUonai Bum / <br /> Fire Alarm ❑ ❑ ❑ ` .' • El spenders / a /'s <br /> Hood Cleaning )11( ❑ ❑ ._.._ Q Sprinkler System Installations <br /> Hood SuPPrsewon ❑ Q ❑ 1 n Standpipes (Sprinkte' Sys) <br /> • Fire Afars installation 0 Torch RoofirrgfFBr Kerrie • <br /> Iire Pumps Q Waste The Storage ANNUAL <br /> Fire Works • <br /> Flammable Application- ANNUAL .1. 4 Valuation of Project <br /> R Fuel Tanks <br /> Other. <br /> Signature <br /> contrecta Md OF j f S . K- _ Res - Y / N 1 Fee Current I Y / N I <br /> `es` 1 I 7aCo CA-dy / 3 cw{lS -7 -,• . u I - ;Company . <br /> Signature ` 44re l 'f el /F' 3 36-c 5 . • Registered Y / N Fee Cmnint Y / N . <br /> Address II (- • •: • License # I . I <br /> PLUMBER Company I <br /> Signature ( �� ------1 Regietarod I Y / N 1 t=ee Currant Y / N <br /> Address I _ license* L 1 . <br /> MECHAM y <br /> Signature • . • Registered Fee Current ME <br /> Address E — - • License # I • I <br /> ( Registered <br /> Sign y Y N J Fee Current 1 Y/ N I <br /> Address • . License* <br /> bireotiona • <br /> RII cut application rc <br /> oOw w 3 C back of application, natarmad (Or copy of *tined conhmat with owner) - <br /> rf aver $2600. a Notice of Commencement Is req dred.(Mecharniml work over $5000) • • <br /> Supply two (2) seta of drawings wlh applicable daaan.n t . 0 • <br /> Aaaw 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Native (havaapprafaar paseegev.00m) <br /> • <br /> • <br /> -WE i)e.rS Cn/, -- Z - nr. . <br /> i7O 6, ay - vvr�5 7`iq� f <br /> 4 ,9/ca / 4 ✓v ,3 , 1. 38c-c-7. <br />